| 摘要: |
| 目的：观察回阳生肌汤配合康复新液对肛瘘伴2型糖尿病患者术后创面愈合的影响。方法：选择肛瘘伴2型糖尿病患者术后创面难以愈合的患者42 例，按照随机数字表法将其分为治疗组、对照组和空白组，每组各14 例。空白组予以常规换药及0.9%氯化钠注射液纱条外敷治疗，对照组在空白组基础上加服回阳生肌汤治疗，治疗组口服回阳生肌汤并以康复新液外敷治疗。观察3组患者术后第7、14、35天创面疼痛视觉模拟评分量表（VAS）评分、创面分泌物情况、创面愈合率及临床疗效。结果：总显效率治疗组为100.00%（14/14），对照组为85.71%（12/14），空白组为71.43%（10/14），治疗组优于对照组、空白组，差异有统计学意义（P＜0.05）；治疗组在术后第7、14、35天创面疼痛评分、渗液评分、愈合率方面均优于对照组及空白组，差异有统计学意义（P＜0.05）。结论：回阳生肌汤配合康复新液可促进肛瘘伴2型糖尿病患者术后创面愈合、减少创面分泌物，值得临床推广。 |
| 关键词: 肛瘘 糖尿病 肛周创面 回阳生肌汤 康复新液 |
| DOI： |
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| Effect of Huiyang Shengji decoction combined with Kangfuxin liquid on postoperative wound healing in patients with anal fistula and type 2 diabetes |
| HUANG Jun,LI Xintian,ZENG Juanni |
| (Hunan University of Chinese Medicine，Changsha 410208，Hunan，China;The Second Affiliated Hospital of Hunan University of Chinese Medicine，Changsha 410005，Hunan，China) |
| Abstract: |
| Objective：To investigate the effect of Huiyang Shengji decoction combined with Kangfuxin liquid on postoperative wound healing in patients with anal fistula and type 2 diabetes.Methods：A total of 42 patients with anal fistula and type 2 diabetes who had difficulties in wound healing after surgery were enrolled and divided into treatment group，control group，and blank group using a random number table，with 14 patients in each group.The patients in the blank group were given routine dressing change and external application of gauze containing 0.9% sodium chloride injection，those in the control group were given oral administration of Huiyang Shengji decoction in addition to the treatment in the blank group，and those in the treatment group were given oal administration of Huiyang Shengji decoction and external application of Kangfuxin liquid.Visual Analogue Scale (VAS) score of wound pain，wound secretions，wound healing rate，and clinical outcome were observed on days 7，14，and 35 after surgery.Results：The marked response rate was 100.00% (14/14) in the treatment group，85.71% (12/14) in the control group，and 71.43% (10/14) in the blank group，and the treatment group had a significantly higher marked response rate than the control group and the blank group (P＜0.05).On days 7，14，and 35 after surgery，the treatment group had significantly better score of wound pain，exudation score，and healing rate than the control group and the blank group (P＜0.05).Conclusion：Huiyang Shengji decoction combined with Kangfuxin liquid can promote postoperative wound healing and reduce wound secretions in patients with anal fistula and type 2 diabetes，and therefore，it holds promise for clinical application. |
| Key words: anal fistula diabetes perianal wound Huiyang Shengji decoction Kangfuxin liquid |
